Clinic
Family Health Centers of San Diego, INC
Family Health Centers of San Diego, INC was paid $93.82M by Medicaid between Jan 2018 and Dec 2024, across 135 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS OF SAN DIEGO, INC
SAN DIEGO, CA 92113
SAN DIEGO, CA 92113
33aNPI1013952597assigned 06/18/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$93.82M
24GClaims799,807
24DCodes billed135
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#30 of 826
Median peer was paid$4.05M
This provider vs. median23×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ROMAN, RICARDO controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 24,291 | $6.35M | |
| 2019 | 33,889 | $6.87M | |
| 2020 | 85,259 | $10.88M | |
| 2021 | 120,207 | $13.57M | |
| 2022 | 161,317 | $14.71M | |
| 2023 | 231,197 | $20.60M | |
| 2024incomplete | 143,647 | $20.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 308,392 | 223,586 | $91.50M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 68,216 | 65,130 | $717K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 98,877 | 79,844 | $449K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 48,829 | 46,851 | $344K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 515 | 398 | $117K |
| 80061 | Lipid panel | <1% | 5,444 | 5,438 | $57K |
| 97803 | <1% | 2,370 | 2,350 | $52K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 36,594 | 32,931 | $46K |
| 80053 | Comprehensive metabolic panel | <1% | 5,593 | 5,577 | $45K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 3,358 | 3,354 | $44K |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 179 | 153 | $42K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 25,309 | 25,080 | $35K |
123 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,521 | $35K |
| 86480 | <1% | 549 | $28K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,361 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,110 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 10,343 | $22K |
| 82274 | <1% | 1,537 | $20K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 673 | $18K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 668 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,566 | $14K |
| 87536 | <1% | 194 | $13K | |
| 92250 | <1% | 508 | $9K | |
| G0467 | Community health center visit, returning patient | <1% | 245 | $8K |
| 86803 | <1% | 701 | $8K | |
| 97802 | <1% | 238 | $6K | |
| 86704 | <1% | 565 | $6K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 432 | $6K |
| 86706 | <1% | 629 | $6K | |
| 87428 | <1% | 138 | $5K | |
| 96156 | <1% | 393 | $5K | |
| 90686 | <1% | 342 | $5K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 655 | $5K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 67 | $4K |
| 86592 | <1% | 1,285 | $4K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 136 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 219 | $4K |
| 82043 | <1% | 727 | $4K | |
| 82570 | <1% | 785 | $3K | |
| 93922 | <1% | 117 | $3K | |
| 83550 | <1% | 440 | $3K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 471 | $3K |
| 90677 | <1% | 12 | $3K | |
| 83540 | <1% | 507 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,267 | $3K |
| 84439 | <1% | 300 | $2K | |
| 99401 | <1% | 230 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 486 | $2K |
| 81025 | <1% | 780 | $2K | |
| 84460 | <1% | 474 | $2K | |
| 84450 | <1% | 485 | $2K | |
| 81002 | <1% | 1,064 | $2K | |
| 82728 | <1% | 527 | $2K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 98 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 3,298 | $2K |
| 92551 | <1% | 133 | $2K | |
| H0043 | Supported housing, per diem | <1% | 203 | $2K |
| 81015 | <1% | 598 | $1K | |
| 82951 | <1% | 118 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 37 | $1K |
| 90756 | <1% | 52 | $1K | |
| 93000 | <1% | 36 | $1K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 18 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 111 | $899.10 |
| 86140 | <1% | 192 | $887.77 | |
| 87210 | <1% | 240 | $870.61 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $761.04 |
| 84153 | <1% | 45 | $719.24 | |
| 85651 | <1% | 269 | $637.45 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,720 | $595.66 |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,804 | $477.00 |
| 87522 | Neg quan hep c or qual rna | <1% | 13 | $454.51 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 3,308 | $420.05 |
| 85018 | <1% | 153 | $320.76 | |
| 81003 | <1% | 172 | $316.46 | |
| 85610 | <1% | 80 | $279.20 | |
| 98960 | <1% | 2,221 | $193.67 | |
| 87070 | <1% | 49 | $165.22 | |
| 99406 | <1% | 68 | $150.00 | |
| 86708 | <1% | 12 | $132.12 | |
| 87340 | <1% | 24 | $109.44 | |
| 83735 | <1% | 16 | $95.36 | |
| 82947 | <1% | 29 | $89.10 | |
| H0001 | Alcohol and/or drug assessment | <1% | 265 | $75.00 |
| 99000 | <1% | 3,425 | $43.56 | |
| 80354 | <1% | 91 | $21.84 | |
| 96127 | <1% | 14,167 | $20.46 | |
| 99173 | <1% | 142 | $7.08 | |
| 3078F | <1% | 41,097 | $0.01 | |
| 3074F | <1% | 48,120 | $0.01 | |
| 3008F | <1% | 5,568 | $0.01 | |
| 90785 | 0% | 1,174 | $0.00 | |
| 96160 | 0% | 341 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 577 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 57 | $0.00 |
| X4110 | 0% | 1,515 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 12 | $0.00 |
| 98940 | 0% | 28 | $0.00 | |
| X3904 | 0% | 323 | $0.00 | |
| V2020 | Frames, purchases | 0% | 12 | $0.00 |
| H2016 | Community support for mental illness or disability, billed per day | 0% | 46 | $0.00 |
| X4301 | 0% | 47 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 27 | $0.00 |
| 3077F | 0% | 123 | $0.00 | |
| 59425 | 0% | 84 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 30 | $0.00 |
| 92015 | Determination of refractive state | 0% | 13 | $0.00 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 41 | $0.00 |
| 91313 | 0% | 12 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 64 | $0.00 |
| 85007 | 0% | 15 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 18 | $0.00 |
| 1159F | 0% | 12 | $0.00 | |
| 1160F | 0% | 12 | $0.00 | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 38 | $0.00 |
| 90836 | 0% | 21 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 14 | $0.00 |
| 97164 | 0% | 13 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,246 | $0.00 |
| 3079F | 0% | 4,615 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 3,327 | $0.00 |
| X4304 | 0% | 835 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 647 | $0.00 |
| 99402 | 0% | 81 | $0.00 | |
| 3075F | 0% | 639 | $0.00 | |
| 2023F | 0% | 36 | $0.00 | |
| 97139 | 0% | 49 | $0.00 | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 0% | 24 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 2,807 | $0.00 |
| X3924 | 0% | 37 | $0.00 | |
| 3044F | 0% | 251 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 73 | $0.00 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 12 | $0.00 |
| X4100 | 0% | 15 | $0.00 | |
| X4102 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialROMAN, RICARDO (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.